Ronald John Mack, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA03013300 Issued in NJ

Practice address

175 High Street
Newton Hospital Ea
Newton, NJ 07860

Phone

(973) 579-8500

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hogarth Emergency Physicians

  • Emergency Medicine Physician
  • Newton, NJ
  • NPI 1770532343
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386683894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 FELLSWOOD DRIVE",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "07021",
            "telephone_number": "973-228-4220",
            "fax_number": "973-621-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HIGH STREET",
            "address_2": "NEWTON HOSPITAL EA",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "07860",
            "telephone_number": "973-579-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "RONALD",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA03013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lu, PA-C
• Fred Stephen Lubinger, LPC
• Nichola Lydon, LCSW, CPRS
• Abigail Mace, LMSW
• Mark Stephen Machtemes
• Srinivas Janardhan Madane, M.D.
• Catherine Magarelli
• Omar Makanay, MD
• Unoosha Malik, PHARMD
• Jean Kamala Mallipudi, MD

• Emergency Medicine Physician in Newton, NJ
• Providers in Newton, NJ by specialty
• Emergency Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.